STACEY HENDERSON MD
NPI 1649666405
Emergency Medicine in Shreveport, LA
About Stacey Henderson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY HENDERSON MD (NPI 1649666405) is an individual emergency medicine provider in Shreveport, Louisiana, licensed in Louisiana (308050) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Ochsner Lsu Health Shreveport, and maintains a secondary practice location in Shreveport.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stacey Henderson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Stacey Henderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 104 clinicians in this Medicare group
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 1,167 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ochsner Lsu Health Shreveport
Acute Care Hospitals · Shreveport, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stacey Henderson's NPI number?
The NPI number for Stacey Henderson is 1649666405. It was assigned to this individual provider in the NPPES registry on April 8, 2015.
Where is Stacey Henderson located?
Stacey Henderson practices at 2510 Bert Koun Loop, Shreveport, LA 71118. The listed phone number is (318) 212-4000.
What is Stacey Henderson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Stacey Henderson enrolled in Medicare?
Yes. Stacey Henderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Stacey Henderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Henderson reassigns Medicare benefits to 2 organizations: Cross Lake Emergency Group, LLC (Shreveport, LA) and Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Henderson accept?
Health plans from HMO Louisiana list Stacey Henderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Stacey Henderson affiliated with any hospitals?
According to CMS data, Stacey Henderson is affiliated with Ochsner Lsu Health Shreveport.
When was this NPI record last updated?
The NPPES record for Stacey Henderson was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stacey Henderson, MD · NPI 1649666405
Emergency Medicine physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since April 8, 2015.
## Identity
- **NPI:** 1649666405 (Entity type: Individual)
- **Enumerated:** April 8, 2015
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 308050 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2510 BERT KOUN LOOP, Shreveport, LA 71118-3119
- **Phone:** (318) 212-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cross Lake Emergency Group, LLC (NPI 1013497114, Shreveport, LA); Lsu Health Sciences Center Shreveport Faculty Group Practice (NPI 1013374222, Shreveport, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In Shreveport, class of 2015
## Record status
- **NPPES last updated:** May 14, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1649666405) · Data from the CMS NPPES public registry.